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These are the user uploaded subtitles that are being translated: 1 00:00:03,379 --> 00:00:07,880 If you’re one of the almost five billion people with access to clean water and good 2 00:00:07,880 --> 00:00:09,800 hygiene, there are a lot of reasons to be thankful. 3 00:00:09,800 --> 00:00:12,180 For one thing, you don’t have to worry about typhoid fever. 4 00:00:12,180 --> 00:00:16,329 The disease, which is caused by a bacteria called Salmonella typhi, is spread by infected 5 00:00:16,329 --> 00:00:21,160 food, water, or contact with a sick person’s feces or urine, and symptoms include vomiting, 6 00:00:21,160 --> 00:00:22,730 diarrhea, and a nasty rash. 7 00:00:22,730 --> 00:00:26,259 But some people don’t have any symptoms at all. 8 00:00:26,259 --> 00:00:30,329 They’re carriers, and can still spread the disease, even though they aren’t sick themselves. 9 00:00:30,329 --> 00:00:34,579 Mary Mallon, better known as Typhoid Mary, was one of those carriers. 10 00:00:34,579 --> 00:00:39,000 In the early 1900s, typhoid fever was mainly a problem in poor urban communities - but 11 00:00:39,000 --> 00:00:42,390 suddenly, about 3,000 people, including rich families, got sick. 12 00:00:42,390 --> 00:00:44,280 And it was all thanks to Mary Mallon. 13 00:00:44,280 --> 00:00:48,620 Mallon immigrated from Ireland to New York City in 1883 and started working as a cook 14 00:00:48,620 --> 00:00:49,650 for wealthy families. 15 00:00:49,650 --> 00:00:53,810 We don’t know when she originally got typhoid fever, but she was definitely a carrier, and 16 00:00:53,810 --> 00:00:57,390 the families she worked for always got sick after she started cooking for them. 17 00:00:57,390 --> 00:01:01,320 But by the time someone came to investigate, Mary had always moved on to the next house. 18 00:01:01,320 --> 00:01:06,180 Her luck ran out in 1906, while she was working for a family in Oyster Bay, on Long Island 19 00:01:06,180 --> 00:01:07,180 in New York. 20 00:01:07,180 --> 00:01:10,530 The family came down with typhoid fever — which was totally unexpected, because Oyster Bay 21 00:01:10,530 --> 00:01:14,490 was home to the rich and famous, and typhoid was considered a disease that mainly affected 22 00:01:14,490 --> 00:01:15,490 the poor. 23 00:01:15,490 --> 00:01:19,990 So the house’s landlord hired George Soper, a freelance sanitary engineer, to find the 24 00:01:19,990 --> 00:01:21,319 source of the outbreak. 25 00:01:21,319 --> 00:01:25,090 All the water sources in the house turned up clean, and Soper eventually started looking 26 00:01:25,090 --> 00:01:26,759 into Mary’s employment history. 27 00:01:26,759 --> 00:01:31,360 Seven families she’d worked for — a total of 22 people — had reported cases of typhoid 28 00:01:31,360 --> 00:01:33,560 fever, including one girl who had died. 29 00:01:33,560 --> 00:01:38,689 It didn’t take Sherlock Holmes to put the pieces together: Mary was a typhoid carrier. 30 00:01:38,689 --> 00:01:42,709 Even if they feel fine, carriers carry the typhoid-causing bacteria in their cells for 31 00:01:42,709 --> 00:01:45,450 years, which means they can get other people sick, too. 32 00:01:45,450 --> 00:01:49,509 The carrier doesn’t feel sick, but the bacteria are still in their feces and urine, so they 33 00:01:49,509 --> 00:01:52,369 can spread the disease if they don’t wash their hands well. 34 00:01:52,369 --> 00:01:55,820 But even though Mallon was a cook, at first it didn’t make sense that she’d spread 35 00:01:55,820 --> 00:01:57,320 typhoid so easily. 36 00:01:57,320 --> 00:02:01,369 Even if she didn’t wash her hands, any bacteria in her food should have died from the high 37 00:02:01,369 --> 00:02:03,009 temperatures involved in cooking. 38 00:02:03,009 --> 00:02:07,259 Except it turned out that she was preparing non-cooked foods, too — one of her most 39 00:02:07,259 --> 00:02:11,860 popular dishes was peach ice cream, which was packed with raw peaches. 40 00:02:11,860 --> 00:02:16,110 After Soper’s investigation, Mallon was forced to have her feces tested for typhoid. 41 00:02:16,110 --> 00:02:21,580 The test was positive, so she was quarantined in a small shack on North Brother Island, 42 00:02:21,580 --> 00:02:23,450 a tiny island east of Manhattan. 43 00:02:23,450 --> 00:02:27,970 Mary Mallon was the first known typhoid carrier in the United States, and her case wasn’t 44 00:02:27,970 --> 00:02:28,970 handled too well. 45 00:02:28,970 --> 00:02:32,810 Health officials didn’t do a great job explaining to Mallon why she was spreading disease even 46 00:02:32,810 --> 00:02:36,600 though she didn’t feel sick, and they didn’t prepare her for life as a carrier. 47 00:02:36,600 --> 00:02:41,280 Three years later, she was released from quarantine, but she had to promise not to go back to cooking. 48 00:02:41,280 --> 00:02:44,720 Mallon didn’t have a way to make a decent living doing anything else, though, so when 49 00:02:44,720 --> 00:02:48,010 the city lost touch with her, she went right back to the kitchen. 50 00:02:48,010 --> 00:02:52,680 Five years later, typhoid fever broke out at Sloane Maternity Hospital in Manhattan, 51 00:02:52,680 --> 00:02:55,150 infecting 25 workers and killing two people. 52 00:02:55,150 --> 00:02:58,420 Health officials went to the hospital … and found Mary Mallon working there as a cook 53 00:02:58,420 --> 00:03:00,420 under a new name, Mary Brown. 54 00:03:00,420 --> 00:03:04,460 So she was taken back to North Brother Island, where she was quarantined for more than 23 55 00:03:04,460 --> 00:03:07,540 years, until she died in 1938. 56 00:03:07,540 --> 00:03:11,580 Even though Typhoid Mary was the first known typhoid carrier in the U.S., she wasn’t 57 00:03:11,580 --> 00:03:12,580 the last. 58 00:03:12,580 --> 00:03:16,270 Plenty of other New Yorkers carried the disease, but since Mary had gone back to cooking despite 59 00:03:16,270 --> 00:03:19,120 knowing she could infect people, the public turned against her. 60 00:03:19,120 --> 00:03:23,040 These days, typhoid can usually be treated with antibiotics, and there are vaccinations 61 00:03:23,040 --> 00:03:26,330 for people who live in or travel to parts of the world where it’s common. 62 00:03:26,330 --> 00:03:30,880 And hopefully, as we keep working to get clean water and sanitation to people who need it, 63 00:03:30,880 --> 00:03:32,750 typhoid fever will become less of a problem. 64 00:03:32,750 --> 00:03:35,850 Carriers are kept under close watch, but as long as they aren’t working in jobs like 65 00:03:35,850 --> 00:03:38,130 cooking, they’re free to live their lives. 66 00:03:38,130 --> 00:03:39,560 Mary Mallon wasn’t so lucky. 67 00:03:39,560 --> 00:03:43,110 Thank you for watching this episode of SciShow, and special thanks to our patrons on Patreon 68 00:03:43,110 --> 00:03:44,150 for making it all possible. 69 00:03:44,150 --> 00:03:48,560 If you’d like to help us keep making episodes like this, go to patreon.com/scishow, and 70 00:03:48,560 --> 00:04:01,470 be sure to go to youtube.com/scishow and subscribe. 7114

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